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1669716981 NPI number — WEST COAST COUNSELING SERVICES INC DBA WEST COAST COUNSELING CENTER

NPI Number: 1669716981
Health Care Provider/Practitioner: WEST COAST COUNSELING SERVICES INC DBA WEST COAST COUNSELING CENTER

Information about “1669716981” NPI (WEST COAST COUNSELING SERVICES INC DBA WEST COAST COUNSELING CENTER) exists in 1669716981 in HTML format HTML  |  1669716981 in plain Text format TXT  |  1669716981 in PDF (Portable Document Format) PDF  |  1669716981 in an XML format XML  formats.

NPI Number : 1669716981 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1669716981",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "WEST COAST COUNSELING SERVICES INC DBA WEST COAST COUNSELING CENTER",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "481 W WILLOW ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LONG BEACH",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90806-2843",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "562-424-6531",
    "MailingAddressFaxNumber": "562-424-5071",
    "FirstLinePracticeLocationAddress": "14401 S GIBSON AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COMPTON",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90221-2514",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "562-424-6531",
    "PracticeLocationAddressFaxNumber": "562-424-5071",
    "EnumerationDate": "11/27/2012",
    "LastUpdateDate": "04/12/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CANNON",
    "AuthorizedOfficialFirstName": "LOU",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "562-424-6531",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251K00000X",
        "TaxonomyName": "Public Health or Welfare Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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